David G Hess, MD | |
950 Medical Dr, Brigham City, UT 84302-4724 | |
(800) 594-6399 | |
(801) 733-5618 |
Full Name | David G Hess |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 950 Medical Dr, Brigham City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891715934 | NPI | - | NPPES |
54251 | Other | UT | DMBA |
12173 | Other | UT | PEHP |
870576522HE1 | Other | UT | EDUCATOR'S |
87040324684121 A002 | Other | UT | TRICARE |
PRA04845 | Other | UT | MOLINA |
2080245 | Other | UT | UHC |
QM0000076538 | Other | UT | ALTIUS |
107006185102 | Other | UT | IHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 172919-1205 (Utah) | Primary |
Entity Name | Brigham Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710904800 PECOS PAC ID: 9335108299 Enrollment ID: O20041006000807 |
Mailing Address | Practice Location Address |
---|---|
David G Hess, MD 1954 Fort Union Blvd, Salt Lake City, UT 84121-6800 Ph: (801) 993-9500 | David G Hess, MD 950 Medical Dr, Brigham City, UT 84302-4724 Ph: (800) 594-6399 |
Robert William Pedro Lyday, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 950 Medical Dr, Brigham City, UT 84302 Phone: 435-734-9471 | |
Mr. Joel D Gardner, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 950 S Medical Drive, Brigham City, UT 84302 Phone: 435-734-9471 Fax: 770-701-6674 |